- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $67.61 / $776.25
| Facility | | $12.02 | $67.61 | $776.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $13.49 / $302.00
| Professional | | $10.72 | $13.49 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $8.91 / $26.92
| Professional | | $7.59 | $8.91 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $50.12 / $89.13
| Facility | | $19.95 | $50.12 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $8.32 / $9.33
| Professional | | $5.01 | $8.32 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $22.39 / $100.00
| Facility | | $13.80 | $22.39 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $15.49 / $23.99
| Professional | | $10.47 | $15.49 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $15.14
| Facility | | $14.13 | $14.13 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $32.36 / $79.43
| Facility | | $14.45 | $32.36 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.72 / $25.12
| Professional | | $7.94 | $10.72 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $100.00 / $100.00
| Facility | | $81.28 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $14.13 / $22.39
| Professional | | $12.59 | $14.13 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $15.14 / $251.19
| Facility | | $11.22 | $15.14 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $13.49 / $33.88
| Professional | | $8.91 | $13.49 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $12.59 / $12.59
| Professional | | $11.22 | $12.59 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $741.31 / $831.76
| Facility | | $354.81 | $741.31 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $15.14 / $43.65
| Facility | | $12.02 | $15.14 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $10.96 / $25.12
| Professional | | $8.51 | $10.96 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $8.91 / $15.14
| Facility | | $5.37 | $8.91 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $8.71 / $16.98
| Professional | | $6.31 | $8.71 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $5.89 / $15.14
| Professional | | $5.89 | $5.89 | $15.14 |